REIMBURSEMENT OF TUTION FEE

Application form of reimbursement under ‘Children Education Assistance Allowance Scheme in accordance with
Ministry of Finance’s O.M. No. 7(1) E.H.(A)/64 dated 3 rd June 1964 as amended by Department of Personal and
Administrative Reforms . O.M. No. 18013/1/90 Estt. (Allowances) dated 31 st December 1987 and Ministry of
personal, Public Grievances and Pensions. O.M. No. 12011/03/2008 Estt.(Allowances) dated 2 nd September 2008.

1. Name of Govt. Employee………………………………………………………….

Designation……………………………………………………………………………….
Personal No………………………………………………………………………………

2. Period of last claim…………………………………………………………………….

3. Period to which present claim pertaing……………………………………..

Details of present claim:-

Sr. No. Details Particulars of 1st Child Particulars of 2nd child

(i) Name of the Child/Children

(ii) School in which studying and location

of the school
(iii) Class in which studying
(iv) Reimbursement for monthly amount Amount Amount Amount Amount
of tution fee/special fee/fee for Claimed(in Passed(in Claimed(in Passed(in
practical work /fee paid for aid or Rupees) Rupees) Rupees) Rupees)
appliance/library fee/games (*) (+) (*) (+)
fee/sports fee/fee for extracurricular
activites etc.
(Receipts to be attached)

(v) Reimbursement for purchase of

(Receipts to be attached)
(vi) Text books
(vii) Notebooks
(viii) Uniforms
(ix) Shoes
Total (A) (B)
Amount of scholarship received

Grand Total(A+B)=Rs………………………….

(*) to be filled up by the official

Asst. Accounts Officer/PC
(+)to be filled up by the P.C. Section

P.T.O.
 CERTIFICATE

1. Certified that my child/Children mentioned at para 3(i) on pre page in respect of whom reimbursement
claimed is/are studying in the schools as mentioned at para 3(ii) and the reimbursement claimed as per
para 3(iv) & 3(v) on pre page have actually been paid by me.

2. Please tick( )(i) or (ii) and fill up(iii) below:

(i) My wife/husband in not a Government Servant( )
(ii) My wife/husband is in Govt. service and no reimbursement would be claimed by her/him. ( )
(iii) My wife/husband is employed with________________________________________________.
She/he in not entitled to reimbursement mentioned at para 3 on pre-page

3. Certified that I have not claimed and will not claim Hostel subsidy as per Ministry of Personnel, public
grievances and pensions O.M. No. 12011/03/2008 Estt. (Allowance) Dated 2 nd September 2008 in respect
of Children mentioned at para 3 on pre-page.

Date: Signature

Name of Section:

Office:-

Recommendation of the Account officer

Sr. A.O.

Passed forRs………………………………………………. (Rs………………………………………………………………………

……………………………………………………………………………………………….(in words) and drawn with Pay & Allowances for the

month of…………………………………………

Sr. Accounts Officer/Cash

_____________________________________________________________________________________________

Note: (1) Children Education Allowance is admissible to two eldest children only.

(2) Claims may be supported with evidence of eldest children i.e. C.G.H.S. Card’s photocopy etc.

(3) Claims on quarter basis only (As per Academic Session) may be submitted for reimbursement.

(4) In addition to tution fees etc. only two sets of uniform, one set of shoes, one set of text books/ Notes

books are reimburble during the academic session.